| NPI | 1336570225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN DOMENA Owner 414-391-3549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: WI 979cts) |
| Enumeration Date | 2013-12-03 |
| Last Update Date | 2013-12-03 |